Dale M Mortenson Lcsw LLC
NPI #1336335728 in Long Branch, New Jersey
Provider Information
- NPI Number
- 1336335728
- Entity Type
- Organization
- Organization Name
- Dale M Mortenson Lcsw LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Sep 19, 2007
Practice Location
- Address
- 376 WEST END AVENUE
- Address 2
- SUITE 48
- City
- Long Branch
- State
- New Jersey
- ZIP Code
- 07740
- Phone
- (732) 229-6262
Authorized Official
- Name
- MR. DALE M MORTENSON, LCSW LCADC
- Title
- PSYCHOTHERAPIST LICENSED CLINICAL S
- Phone
- (732) 229-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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